JERELYN MARY KOOSMANN

ASHLAND, WI
NPI1023457918
Former NameJERELYN MARY STENCIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5103-16)
Enumeration Date2013-06-24
Last Update Date2013-06-24
Business Address
Mrs. JERELYN MARY KOOSMANN RDH
53585 NOKOMIS RD
ASHLAND, WI 54806-4272
Phone number: 715-685-7887
Mailing Address
Mrs. JERELYN MARY KOOSMANN RDH
53585 NOKOMIS RD
ASHLAND, WI 54806-4272
Phone number: 715-685-7887